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The Tasmanian Medical Workforce Project. Medical workforce planning dynamics. Demand side. Supply side. Aging workforce Maldistribution R ural shortages Workforce ‘ casualisation ’ Generational change More graduates. Ageing health consumer Declining fertility rate
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Medical workforce planning dynamics Demand side Supply side Aging workforce Maldistribution Rural shortages Workforce ‘casualisation’ Generational change More graduates • Ageinghealth consumer • Declining fertility rate • Increasing burden of disease • New treatments and technologies (including pharmaceuticals) • Changing models of care • Financial constraints
DHHS Strategic Context Our vision • High quality, safe services for the people of Tasmania when they need them, so they can live well and live longer. Our mission • Improve the health and wellbeing of patients, clients and the Tasmanian community through a sustainable, high quality and safe health and human services system. Project Aim • “To enhance Tasmania’s ability to provide effective, appropriately resourced medical healthcare services to all Tasmanians”
Project Objectives • Profile Tasmania’s medical workforce • composition, distribution and demographic attributes of Tasmania’s medical workforce, including participation trends • Inform efforts to ensure Evidence base to inform decision making and the sustainability of Tasmania’s medical workforce. • Make recommendations by WHEN? • Workforce profile template for DHHS
Scope • Critical analysis of existing and available quantitative and qualitative data sources • Review of relevant literature • Stakeholder consultation • Benchmarking • Recommendations (Dec 2014)
Relevant local work • DHHS Health Workforce Strategic Framework • DHHS Nursing workforce planning project • DHHS Allied Health Practitioner workforce planning project • UTAS Medical graduates outcomes research/ Rural Clinical School graduate research • Medicare locals: GP census reporting
Information Sources • Australian Health Practitioner Regulation Agency (AHPRA) • Medical Board Australia (MBA) • Health Workforce Australia (HWA) • DHHS HR Systems
Consultation process • Invitation extended to key stakeholders both in public and private sector. • Extensive consultation process • Identification of key themes and issues including; • Current Workforce • Training • Future Opportunities • Quality & Safety • Reform
Medical Practitioners: Age range & Gender 2012 *Tasmanian figures have been multiplied by 100 for scaling purposes
Tasmanian Medical Practitioners: Principal role & Gender Source- HWA database enquiry 2012
Tasmanian Health OrganisationsTotal registered medical practitioners Total Medical Workforce: 246 Total Medical Workforce: 537 Total Medical Workforce: 1169
Benchmarking: South Australia Note: Headcount is not adequate as a tool to assess workforce supply.
Average Hours SA 42 Hours Per week Males Females 45 37 Tasmania 41 Hours Per week Males Females 43 38 * Based on self reported information obtained thought the medical workforce survey based on reporting over a 1 week period. Please consider data with caution.
Outputs • A critical analysis of best available data • Comprehensive reporting and profiling on the medical workforce in Tasmania • Benchmarking based on best available information and data • Critical analysis of approaches to workforce modelling • Outcomes and analysis of issues from stakeholder consultations • Recommendations
Outcomes • Strategic medical workforce modelling • Evidence-informed policy and planning • Potential for productivity gains • Medical workforce intelligence • Better understanding of regional issues • Better supported workforce • Better health outcomes
Your ideas? • What are the main considerations affecting future medical workforce? • What ideas could impact positively on medical workforce?